The term giant pancreatic pseudocyst is traditionally used when the size is greater than 10 cm [7]. However, pseudocysts larger than 20 cm have been rarely reported. The largest pancreatic pseudocyst in the literature was diagnosed by Bozeman, et al.
What is considered a large pancreatic pseudocyst?
Pancreatic pseudocysts are a relatively common complication of pancreatitis and chronic alcoholism. Giant pancreatic pseudocyst is a term traditionally used when the pesudocyst is greater than 10 cm in size. However, pseudocysts larger than 20 cm have been rarely reported.
What is the average size of a pancreatic pseudocyst?
Pseudocysts should have a mature capsule (wall thickness >3 mm and <1 cm), impress the stomach wall and have a minimum size of 5–6 cm to become eligible for endoscopic drainage 22,27.
When should a pancreatic cyst be drained?
Indications for drainage are presence of symptoms, enlargement of cyst, complications (infection, hemorrhage, rupture, and obstruction), and suspicion of malignancy. The available forms of therapy include percutaneous drainage, transendoscopic approach, and surgery.
What size is a large pancreatic cyst?
They are usually large; the mean diameter ranges from 7 to 10 cm. MCNs usually contain several cystic areas that are 1–2 cm in diameter, but can also present as a single macrocystic lesion. The cyst wall is typically 1–2 mm thick and contains calcification in up to 30%.
What is the difference between a cyst and a pseudocyst?
Both cysts and pseudocysts are collections of fluid. A true cyst is a closed structure. It has a lining of cells that separates it from the nearby tissue. A pseudocyst isn’t closed and doesn’t have a lining of epithelial cells separating it from the nearby tissue.
Should I worry about a cyst on my pancreas?
When to see a doctor Rarely, cysts can become infected. See a doctor if you have a fever and persistent abdominal pain. A ruptured pancreatic cyst can be a medical emergency, but fortunately is rare. A ruptured cyst can also cause infection of the abdominal cavity (peritonitis).
What size pancreatic cyst is considered large?
